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《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:

2013年第2期

页码:

197-199

栏目:

临床研究

出版日期:

2013-04-25

文章信息/Info

Title:

Correlation of microalbuminuria and coronary stenting restenosis 1 year after percutaneous coronary intervention

作者:

艾 民; 颜昌福; 夏福纯; 周双陆; 贺 剑; 顾定平; 付国齐

(攀钢总医院心内科，四川 攀枝花 617023)

Author(s):

AI Min;  YAN Chang-fu;  XIA Fu-chun;  ZHOU Shuang-lu;  HE Jian;  GU Ding-ping;  FU Guo-qi

(Department of Cardiology, Pangang General Hospital of Panzhihua, Panzhihua 617023, Sichuan, China)

关键词:

冠状动脉疾病; 支架内再狭窄; 微量白蛋白尿

Keywords:

coronary heart disease;  in-stent restenosis;  microalbuminuria

分类号:

R541.4

DOI:

-

文献标识码:

A

摘要:

目的:分析尿微量白蛋白（MAU）与冠心病患者行支架植入术后1年支架内再狭窄的相关性。方法： 收集2009年3月~2011年6月我科139例冠心病经皮冠状动脉介入治疗患者，支架植入术前检测患者MAU，术后1年根据患者冠状动脉造影结果分为再狭窄组和未狭窄组。结果： 再狭窄组患者MAU水平［(59±16) mg/L］显著高于未狭窄组患者［(39±15) mg/L］ （P<0.05）；再狭窄组中单支病变［(40±3) mg/L］、两支病变［(55±5) mg/L］和三支病变［(82±11) mg/L］患者MAU水平比较差异有统计学意义（P<0.05）。结论： 冠心病患者支架植入术后1年支架内再狭窄与患者支架术前的MAU水平相关，MAU是支架术后再狭窄的很好预测指标。

Abstract:

AIM:To explore the correlation of microalbuminuria (MAU) and stent restenosis 1 year after percutaneous coronary intervention (PCI). METHODS: Serum microalbuminuria was tested in patients prior to PCI. One year after PCI, patients were divided into restenosis group and no-restenosis group by coronary artery angiography and the results were compared. RESULTS: Serum microalbuminuria levels (59±16) mg/L in restenosis group were significantly higher than in the no-restenosis group (39±15) mg/L (t=4.316, P<0.05). Serum MAU levels were, respectively, (40±3) mg/L in single-vessel lesions, (55±5) mg/L in two-vessel lesions, and (82±11) mg/L in three-vessel lesions (F value = 61.426, P<0.05). The difference was statistically significant. CONCLUSIONS: Microalbuminuria is a good predictive index for coronary artery stent restenosis 1 year after PCI.

参考文献/References

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备注/Memo

备注/Memo:

收稿日期：2012-09-13.通讯作者：颜昌福，主任医师，主要从事冠心病及心律失常介入治疗研究Email:YANCHANGFU2012@163.com 作者简介：艾民，副主任医师，博士 Email:aimin2006120@163.com

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更新日期/Last Update: 2013-04-28